Republic of Yemen

Amran University
Faculty of Medicine &Health ‫وزارة التعليم العالي والبحث العلمي‬
Sciences
‫جامعة عمران‬
Department of Nursing
‫كلية الطب والعلوم الصحية‬
‫قسم التمريض‬

Questionnaire
Assessment of Patient Satisfaction toward Nursing Care Provided at
the Government Hospitals Amran city-Yemen, 2024.

This questionnaire may take your time around 10 minutes and we

guarantee you the confidentiality of the information you make and it will
only be used for research purposes. As the results of this research will
Associated of Patient Satisfaction toward Nursing Care Provided at the
Authority of the Martyr Presided Saleh Al-Sammad Teaching Hospital in
Amran city and in Yemen in general, so we hope for your participation and
the right to choose to participate or not.
Do you agree to participate in this scientific study?

Yes( ) No( ).

Supervisor:
Dr. Bandar Al-Hajuri
Part One: Demographic Characteristic

No Statement Expected answer

1. Age
Male
2. Gender
Female
High-school or below
3. Education
College or above
Employed
4. Employment
Unemployed
Single
Married
5. Marital status
Divorced
Widowed
Urban
6. Geographic location
Rural
High
7. Income: birr/month Medium
Low

8. Previous hospitalization (No. of times)

2-3
9. Length of stay (days) 4-5
>6

Single room
10. Hospital accommodation
Shared with others
Emergency department
Medical department
Surgical department
11. Department Name
Intensive care units
Pediatric department
Other
Recommend
12. Hospital recommendation Do not recommend
Please rate some things about the nursing care during your hospital stay in terms of whether
they were Excellent, Very Good, Good, Fair or Poor. Please check only one rating for each
statement.

Very
Excellent Good Good Fair Poor
INFORMATION YOU WERE
GIVEN: How clear and complete the
nurses’ explanations were about tests,
treatments, and what to expect.     
INSTRUCTIONS: How well nurses
explained how to prepare for tests and
operations.     
EASE OF GETTING
INFORMATION: Willingness of
nurses to answer your questions.     
INFORMATION GIVEN BY
NURSES: How well nurses
communicated with patients, families,
and doctors.     
INFORMING FAMILY OR
FRIENDS: How well the nurses kept
them informed about your condition
and needs.     
INVOLVING FAMILY OR
FRIENDS IN YOUR CARE: How
much they were allowed to help in
your care.     
CONCERN AND CARING BY
NURSES: Courtesy and respect you
were given; friendliness and kindness.     
ATTENTION OF NURSES TO
YOUR CONDITION: How often
nurses checked on you and how well
they kept track of how you were doing.     
RECOGNITION OF YOUR
OPINIONS: How much nurses ask
you what you think is important and
give you choices.     
CONSIDERATION OF YOUR
NEEDS: Willingness of the nurses to
be flexible in meeting your needs.     
THE DAILY ROUTINE OF THE
NURSES: How well they adjusted
their schedules to your needs.     
 Very
Excellent Good Good Fair Poor
HELPFULNESS: Ability of the
nurses to make you comfortable and
reassure you.     
NURSING STAFF RESPONSE TO
YOUR CALLS: How quick they were
to help.     
SKILL AND COMPETENCE OF
NURSES: How well things were
done, like giving medicine and
handling IVs.     
COORDINATION OF CARE: The
teamwork between nurses and other
hospital staff who took care of you.     
RESTFUL ATMOSPHERE
PROVIDED BY NURSES: Amount
of peace and quiet.     
PRIVACY: Provisions for your
privacy by nurses.     
DISCHARGE INSTRUCTIONS:
how clearly and completely the nurses
told you what to do and what to expect
when you left the hospital.     
COORDINATION OF CARE
AFTER DISCHARGE: Nurses’
efforts to provide for your needs after
you left the hospital.     
OVERALL PERCEPTIONS
Very
Excellent Good Good Fair Poor
Overall quality of care and services
you received during your hospital stay     

Overall quality of nursing care you

received during your hospital stay.     
In general, would you say your health
is:     
Strongly Somewhat Somewhat Strongly
agree agree Agree disagree disagree
Based on the nursing care I received, I
would recommend this hospital to my     
family and friends